Case Management Director
14 hours ago
Lead Case Manager
About the RoleWe are seeking a highly skilled and experienced Lead Case Manager to join our team at Kindred Hospital Ontario. As a key member of our case management team, you will be responsible for providing leadership and operational oversight of our Case Management and Utilization Management activities.
Key Responsibilities:- Provides leadership for the case management team and assists with daily operational oversight of Case Management and Utilization Management activities in a Kindred hospital.
- Coordinates and facilitates the care of the patient population through effective collaboration and communication with the Interdisciplinary Care Transitions (ICT) members.
- Serves as a subject matter expert, mentor, and preceptor to staff, performing staff education related to resource utilization, discharge planning, and psychosocial aspects of healthcare delivery.
- Follows patients throughout the continuum of care and ensures optimum utilization of resources, service delivery, and compliance with external review agencies.
- Provides ongoing support and expertise through comprehensive assessment, care planning, plan implementation, and overall evaluation of individual patient needs.
- Enhances the quality of patient management and satisfaction to promote continuity of care and cost-effectiveness through the integration of functions of case management, utilization review, and management, and discharge planning.
- Partners with external customers, referral sources, and payors to ensure the facilitation and coordination of the discharge planning process and serves as the patient and family advocate.
- Accountable for the facility's denial management program.
- Graduate of an accredited program required; BSN preferred.
- Master of Social Work with licensure as required by state regulations.
- Bachelor of Social Work with licensure as required by state regulations.
- Healthcare professional licensure required as Registered Nurse, or Licensed Clinical Social Worker (LCSW) or Licensed Social Worker (LSW) if required by state regulations.
- Certification in Case Management preferred.
- Two years of experience in a healthcare setting preferred, preferably acute or LTACH.
- Prefer prior experience in Case Management, Utilization Review, or Discharge Planning.
The salary range for this position is $50.83 - $64.46 per hour, reflecting the importance of the role in promoting high-quality patient care and efficient resource utilization. Based on a 40-hour workweek, this translates to an annual salary of approximately $105,144 - $133,483. Note that salaries may vary based on factors such as location, experience, and performance.
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